Pain catastrophizing

Thompson, Osheeca J; Powell-Roach, Keesha; Taylor, Jan; Terry, Ellen L.; Booker, Staja Q.

doi:10.1097/01.nurse.0000823252.50782.45

Cited by 9 publications

(7 citation statements)

References 42 publications

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“…Objective measures of interventions are important in showing effects; however, subjective measures such as goal outcomes ensure that participants are at the core and are engaged in their care. Future work can also take into account pain catastrophizing and the role it may play in how the women engage and are affected by their pain ( 56 ). The findings of this study have led us to adapt the intervention to include a group session that involves a form of cognitive behavioral therapy.…”

Section: Discussionmentioning

confidence: 99%

Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women

Taylor,

Clair,

Gitlin

et al. 2023

Innovation in Aging

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Background and Objectives The intersection of race, gender and age puts older African American women at high risk of experiencing comorbid pain and depressive symptoms. The purpose of this study was to assess feasibility and acceptability of a 12-week behavioral activation intervention to target self-selected goals related to pain and depressive symptoms in middle aged and older African American women. Research Design and Methods This randomized waitlist control study included 34 self-identified African American women, 50 years of age or older, with moderate to severe chronic pain and depressive symptoms. The intervention consisted of eight in person or virtual 1-hour visits with a nurse. Follow-up acceptability assessments were conducted with 10 participants. Results The average age of the participants was 64.8 (SD: 10.5). They reported an average pain intensity score of 7.0 (SD:1.9) out of 10 and an average PHQ-9 depressive symptoms score of 11.9 (SD:4.0) at baseline. Of the 34 participants who consented, 28 (82.4%) women started the intervention, and 23 (82.1%) completed the intervention. Participants described the study as useful and beneficial. Participants recommended including a group component in future iterations. Effect sizes at 12 weeks were -0.95 for depressive symptoms indicating a substantial decrease in experienced depressive symptoms, but pain intensity was virtually unchanged (+ 0.09). Discussion and Implications The findings of this study demonstrate that the intervention is acceptable among middle-aged and older African American women and their personal goals were met. Including a group component and identifying effective ways to decrease attrition rates will be key in the next steps of development for this intervention. It is crucial to provide tailored, non-pharmacological approaches to pain, and depression symptom management in older adult populations who experience inequities in pain and mental health outcomes. This study emphasizes the importance of participant-driven goal-setting interventions.

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Section: Discussionmentioning

confidence: 99%

Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women

Taylor,

Clair,

Gitlin

et al. 2023

Innovation in Aging

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“…While it has been defined in many ways, most definitions of pain catastrophizing include an emphasis on the role of magnification of the threat value of pain, and the feeling of helplessness related to the experience of pain. Individuals that exhibit a high level of pain catastrophizing usually also have a tendency to attribute a threatening meaning to the experience of pain [ 6 ]. Another common trend is the feeling of lacking control over the experience of pain [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Pain Catastrophizing: How Far Have We Come

Simic,

Savic,

Knezevic

2024

Neurology International

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The perception of pain is strongly influenced by various social, emotional, and cognitive factors. A psychological variable which has consistently been shown to exert its influence on pain is a cognitive process referred to as pain catastrophizing. Numerous studies have found it to be a strong predictor of pain intensity and disability across different clinical populations. It signifies a maladaptive response to pain marked by an exaggerated negative assessment, magnification of symptoms related to pain, and, in general, a tendency to experience marked pain-related worry, as well as experiencing feelings of helplessness when it comes to dealing with pain. Pain catastrophizing has been correlated to many adverse pain-related outcomes, including poor treatment response, unsatisfactory quality of life, and high disability related to both acute and chronic pain. Furthermore, there has been consistent evidence in support of a correlation between pain catastrophizing and mental health disorders, such as anxiety and depression. In this review, we aim to provide a comprehensive overview of the current state of knowledge regarding pain catastrophizing, with special emphasis on its clinical significance, and emerging treatment modalities which target it.

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“…22 Thus, it is recommended that nurses more readily recognize and attend to pain catastrophizing. 23 Multisite pain, or pain in more than one anatomical location, can be a downstream effect of pain catastrophizing and low pain self-efficacy. 24 In noncancer chronic pain, pain in more than 1 location has a more significant impact on pain and pain-related function than single-site pain.…”

Section: Introductionmentioning

confidence: 99%

“…Although there are concerns the term “pain catastrophizing” can be stigmatizing or delegitimize a patient's pain experience, as a construct it acknowledges psychosocial factors play a role in how a person experiences pain 22 . Thus, it is recommended that nurses more readily recognize and attend to pain catastrophizing 23 . Multisite pain, or pain in more than one anatomical location, can be a downstream effect of pain catastrophizing and low pain self-efficacy 24 .…”

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confidence: 99%

The Contribution of Cancer-Specific Psychosocial Factors to the Pain Experience in Cancer Survivors

Jones

Magee

et al. 2023

J Hosp Palliat Nurs

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Palliative care teams are increasingly called up to manage chronic pain in cancer survivors. Chronic pain is common in cancer survivors and is heavily influenced by biopsychosocial factors. This study aimed to determine the relative contribution of unique cancer-specific psychosocial factors, pain catastrophizing, and multisite pain to the pain experience in 41 cancer survivors who completed curative cancer treatment. To test the research hypotheses, a series of nested linear regression models were used with likelihood ratio testing to test the individual and collective contribution of cancer-specific psychosocial factors (fear of cancer recurrence, cancer distress, cancer-related trauma), pain catastrophizing, and the number of pain sites on the pain experience. The results indicate pain catastrophizing and multisite pain explained a significant degree of variance in pain interference scores (P < .001) and pain severity (P = .005). Cancer-specific psychosocial factors did not significantly predict variability in pain interference (P = .313) or pain severity (P = .668) over and above pain catastrophizing and the number of sites of pain. In summary, pain catastrophizing and multisite pain contribute to the chronic cancer-related pain experienced by cancer survivors. Palliative care nurses are well positioned to improve chronic pain among cancer survivors by assessing and treating pain catastrophizing and multisite pain.

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Pain catastrophizing

Cited by 9 publications

References 42 publications

Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women

Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women

Pain Catastrophizing: How Far Have We Come

The Contribution of Cancer-Specific Psychosocial Factors to the Pain Experience in Cancer Survivors

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